Smartphone medication adherence apps: potential benefits to patients and providers.
Smartphone medication adherence apps: potential benefits to patients and providers.
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DOI：
10.1331/japha.2013.12202
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发表时间：
2013-03
期刊：
影响因子：
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通讯作者：
Martin BC
中科院分区：
文献类型：
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作者：
Dayer L;Heldenbrand S;Anderson P;Gubbins PO;Martin BC
为了概述药物依从性，讨论智能手机药物依从性应用程序（依从性应用程序）改善药物不依从性的潜力，评估操作系统（OS）中依从性应用程序的功能，并确定依从性应用程序面临的未来机会和障碍。药物不依从是一个常见的，复杂的，昂贵的问题，导致不良的治疗结果和消耗卫生保健资源。不遵守规定的情况很难精确衡量，为减轻这种情况而采取的干预措施基本上没有成功。使用智能手机依从性应用程序代表了一种提高依从性的新方法。这项现成的技术提供了许多功能，可以帮助患者和医疗保健提供者改善服药行为。目前可用的应用程序是从三个主要的智能手机操作系统（苹果，Android和黑莓）中确定的。此外，使用三点评级系统，根据对用户期望度的感知重要性识别并排名依从性应用程序的理想功能：1，适度; 2，中等;或3，高。安装了10个评分最高的应用程序，并进行了用户测试，以使用标准药物方案评估应用程序属性。160个依从性应用程序被确定并排名。这些应用程序在Android操作系统中最为普遍。具有高级功能的依从性应用程序在Apple iPhone操作系统中更为普遍。在所有应用程序中，MyMedSchedule、MyMeds和RxmindMe的评分最高，因为它们具有基本的药物提醒功能以及增强的功能水平。尽管未经测试，药物应用程序代表了一种可能的策略，药剂师可以推荐给非依从性患者并将其纳入实践。
To provide an overview of medication adherence, discuss the potential for smartphone medication adherence applications (adherence apps) to improve medication nonadherence, evaluate features of adherence apps across operating systems (OSs), and identify future opportunities and barriers facing adherence apps. Medication nonadherence is a common, complex, and costly problem that contributes to poor treatment outcomes and consumes health care resources. Nonadherence is difficult to measure precisely, and interventions to mitigate it have been largely unsuccessful. Using smartphone adherence apps represents a novel approach to improving adherence. This readily available technology offers many features that can be designed to help patients and health care providers improve medication-taking behavior. Currently available apps were identified from the three main smartphone OSs (Apple, Android, and Blackberry). In addition, desirable features for adherence apps were identified and ranked by perceived importance to user desirability using a three-point rating system: 1, modest; 2, moderate; or 3, high. The 10 highest-rated apps were installed and subjected to user testing to assess app attributes using a standard medication regimen. 160 adherence apps were identified and ranked. These apps were most prevalent for the Android OS. Adherence apps with advanced functionality were more prevalent on the Apple iPhone OS. Among all apps, MyMedSchedule, MyMeds, and RxmindMe rated the highest because of their basic medication reminder features coupled with their enhanced levels of functionality. Despite being untested, medication apps represent a possible strategy that pharmacists can recommend to nonadherent patients and incorporate into their practice.